Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $113.80 / $462.05	Facility		$100.67	$113.80	$462.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $100.67 / $115.50	Professional		$87.68	$100.67	$115.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $118.43 / $118.43	Professional		$118.43	$118.43	$118.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $96.91 / $110.83	Professional		$67.30	$96.91	$110.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $123.14 / $133.72	Professional		$102.74	$123.14	$133.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $98.07 / $98.07	Professional		$98.07	$98.07	$98.07